Frustrated and exhausted

Specialties Psychiatric

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I came to this site last night looking for information on Ablify. I have a fifteen year old daughter who about a year and a half ago slipped into a major depression. She has been self-mutilating for about that long also, that I know of. She was in and out of the adolescent units 6-7 times within about a 8 month period. They tried numerous meds, even the Bi-Polar meds(they didn't work at all, just made her worse). The hospitalizations didn't seem to help at all. She had attempted suicide a few times last year. She has thoughts of suicide and death alot, and has said she hears voices and sees things. It seems as though she has a obsession with death. Last year when she got bad she started to wear all black all the time. She has since started wearing some colors, but I can tell when she slips further into her depression because she goes back to wearing all black. She went through some catatonic episodes, had an MRI and an EEG. The Neurologist said there isn't anything neurologically wrong with her. She refuses to go to a counselor for therapy, but will go to her Pyschiatrist for her meds. There was an incident about two months ago where I told her she couldn't go somewhere and she went under her bed and was tearing things up , cussing at me, and talking about death. This went on for about two hours, she finally calmed down and was ok for a while. When she gets really depressed she either goes into her closet or under her bed and tells me to leave her alone. A lot of times this is when she cuts on herself. She's a beautiful girl and it breaks my heart to see her do this to herself and I can't stop it. I've tried love, talking, anger, and I don't know what else to do. She is on 150 mg zoloft once a day and 100mg of Wellbutrin 2 X's a day. It seems to get worse when she has PMS, I really don't know if there is an actual connection or not. She actually had done well with the cutting until about a month ago. She has gotten bad again. There for a while she kept saying that she might have to go to the State Hospital. I've taken her razors away from her, but she finds anything to cut with, including her own fingernails. I just wish it would all go away and my daughter would come back to me. There are times when she can become very manipulative, especially if she doesn't get her way. She's very defiant against authority, she even cussed out a police officer to his face when she refused to come home with me from her friend's house and they were forcing her to come home. Then there are times when she can be so very caring for children or the handicapped children who can't take care of themselves and she will stick up for them no matter what. I was wondering if anyone has any ideas on what kind of support groups are out there for me and maybe if I can get her to go, a support group for her. What about meds? The doctor was talking about adding Ablify to her meds. I just don't know what to put her on, and I'm concerned that she's not going to function well as an adult. She is a Sophomore in Highschool, and only has two years left. I'm sorry to make this so lengthy. Any ideas? Thanks!

Specializes in Med-Surg, Wound Care.

I hate throwing out a diagnosis strictly looking at behavior exhibited while on psychotropic medications. The initial cutting and depression may have been situational in this childs case. Now its so muddied by the meds its almost impossible to get to the root. What stands out to me is the "obsession with death". This is reported over and over again in the 22% of children who have horrible side effects from SSRI's. Its so consistently reported that it can't be denied. I feel awful for this poor child who is being labeled and possibly overmedicated for what could have been a transitory/situation depression.

I really do appreciate all responses! I read all of the threads, but not always am able to reply. I thought I would give everyone an update on my daughter. She is getting worse (more suicidal, depressed, angry, but she is controlling her cutting so far) I really believe that it could be her Wellbutrin and Zoloft. I also think her menustrual period has some bad effect on her, she gets so much worse when she is on it. I want to wean her off of everything, but I am really scared that it will get as bad as last year(which was worse) I don't know what to do?????? I have found a new psychiatrist, but I am concerned that he won't help her. I really would like her to be totally off of the medication!!!! Any suggestions on the lastest?????? Thanks to all!!!!!!

Specializes in Med-Surg, Wound Care.

Shorty I feel so bad for what your daughter is going through. I'm glad to hear that you are looking at the antidepressants! I've been through the anger,hostility,and yes two suicide attempts by my son. The suicide attempts were during the weaning process when he stopped taking them(coughed them back up). If it helps you see tomorrow, my son is now off paxil for 7 weeks. He is alive again!! The anger is gone, he's social, seeing friends again, and just SOOOO much better. It was very scary for me to take him off paxil, but it saved his life. Its not an easy process(though some psychiatrists will lead you to believe its a simple wean). There are definite physical symptoms that need to be recognized.Brain zaps,dizziness,and yes depression! The depression shouldn't be taken as a return of the original problem, the withdrawal can make it worse while the brain readjusts to "normal"seratonin levels.

Only you can decide whats right for your child, but just know that mine is full of life again and the moods we see now are normal teenage stuff.

Please watch her closely while she's on these meds!!

I sent you a PM.

Every medication affects people differently. Prednisone makes me homicidal, other people can take it without any problem. Some people have trouble with SSRIs, others don't. A recent theory about depression is that there are different causes and different neurotransmitters involved.

If you are concerned that your daughter is worse, it might be time for an inpatient admission, especially if you want to wean her off her meds. The Wellbutrin may be helping with her cutting since it works on some of the addiction receptors in the brain and cutting is an addictive behavior.

I hope things begin to improve for your daughter soon. As difficult as it is to live with someone behaving the way she is, it is 100 times worse to be the person living inside that skin.

luci

Hi Shorty,

I am so sorry for what you are going through. I wondered if you ever tried something with your daughter. Have you ever made it perfectly clear that the cutting and other things won't be tolerated by you? I don't know, but my nephew was doing that stuff, because apparently in some teenage circles it's cool and gets you attention. My sister told him absolutely no more of it or he was going to a Psychiatrists. Guess what? It worked. Maybe that won't work for everyone, but self esteem with a teenager is such a fragile thing. Does she feel like her new Dr. is going to help her?

Hello everyone! I just wanted to give everyone an update on my daughter. May and June were horrible with her. She was becoming increasingly worse(hostility, anger, depression, feelings of hopelessness, banging her head on the walls when she was angry - hard, terrible anxiety, etc). She also came home stoned, drunk, had smoked cigarettes, sneaking out at night, etc. You name it, she was doing it, and she was out of control. I wasn't sleeping very well at night and going to work at 5:00AM didn't help either. I knew something had to be done, but what? I had previously tried to get her psychiatrist to take her off of her meds, but they all said no, she'll be on meds for at least 3 years, maybe even her whole life. I spoke with Isyorke and she gave me the courage to try to fight to get her off of her meds. I found a female psychiatrist (all the rest were male) and she said she was willing to try her off of her meds.

My daughter has now been completely off her meds for going on 2 weeks, and off her Wellbutrin for over a month now. She is a totally different kid, she is able to control her anger and tame it down. She shows no signs of hostility, depression, anxiety, etc. She's not hearing voices or seeing things any longer. She hasn't cut for at least 4 months. I know this all seems like such a short time to be off her meds, but I have faith she won't need them anymore and I will fight tooth and nail to keep her off of them! Any relief is welcome!

These doctors are out of control and the parents' hands are tied because if you try to go against the doctor's orders they will press charges in the courts, and they also have you scared to death that nothing will work except the meds! What a vicious cycle!!!!!

My daughter is also seeing a counselor. The counselor said she couldn't believe the difference in her, she was like a normal teenager and totally different. Normally she chews her fingers up (her nails were gone a long time ago, so she chews on her skin, she chews on them normally all day long), and also when she talks to her counselor, but this time she sat there and talked with her hands idle. She talked about what she is going to do when she graduates and grows up - what a welcome change from talking only about death! Needless to say the counselor was amazed at the changes.

I appreciate all your prayers and responses! :) I read them all, they helped me through some very trying times, times I don't wish to re-visit. My daughter will be a Junior in High School this year, and I just want to see her graduate!!!!

I believe the meds numbed my daughter to pain, so she was able to hurt herself without feeling it. I also believe the meds left her to feel as though she could do whatever she pleased and she could careless about the consequences. These thoughts have also changed, I won't go into detail as I have already talked everyone's ears off, sorry, I'm just so very excited and hopeful for the first time in a long time. I know there will be ups and downs, but these will be normal ups and downs, not extreme hills!!! I am trying to teach her that it's ok to have up and down days. That it's ok to be irritable when you are PMSing. These are all normal feelings, and oh by the way she's also a teenage girl :rotfl: !!!! Please just keep praying for us, as we still have two more years of highschool to go! I will keep you all updated as we go through it!!! Thank you each and everyone!!!!!!!

Specializes in Med-Surg, Wound Care.

Shorty, I sit here crying!!! I'm so thrilled for your daughter and you!! What a road you have taken to save your daughter. I know how hard it was having been down that same road. Yes, she will have ups and downs, but as my son tells me, "they're normal ups and downs now!"

My son and I recently taped a segment for World News Tonight with Peter Jennings which should air in the near future(after the convention coverage). I can't tell you how proud I was of my son to go public with his story. It was hell for him and our family! Now I see a child who is mature,committed to the future,happy, and willing to speak to all who will listen. Aren't our kids great??

Thank you for posting, you have made my day!! May your daughters future be filled with "normal ups and downs" and all the happiness she so rightly deserves.

Cheers! Happy for both of you!

I found a female psychiatrist (all the rest were male) and she said she was willing to try her off of her meds.

My daughter has now been completely off her meds for going on 2 weeks, and off her Wellbutrin for over a month now. She is a totally different kid, she is able to control her anger and tame it down. She shows no signs of hostility, depression, anxiety, etc. She's not hearing voices or seeing things any longer. She hasn't cut for at least 4 months. I know this all seems like such a short time to be off her meds, but I have faith she won't need them anymore and I will fight tooth and nail to keep her off of them! Any relief is welcome!

These doctors are out of control and the parents' hands are tied because if you try to go against the doctor's orders they will press charges in the courts, and they also have you scared to death that nothing will work except the meds! What a vicious cycle!!!!!

My daughter is also seeing a counselor. The counselor said she couldn't believe the difference in her, she was like a normal teenager and totally different. Normally she chews her fingers up (her nails were gone a long time ago, so she chews on her skin, she chews on them normally all day long), and also when she talks to her counselor, but this time she sat there and talked with her hands idle. She talked about what she is going to do when she graduates and grows up - what a welcome change from talking only about death! Needless to say the counselor was amazed at the changes.

I appreciate all your prayers and responses! :) I read them all, they helped me through some very trying times, times I don't wish to re-visit. My daughter will be a Junior in High School this year, and I just want to see her graduate!!!!

I believe the meds numbed my daughter to pain, so she was able to hurt herself without feeling it. I also believe the meds left her to feel as though she could do whatever she pleased and she could careless about the consequences. These thoughts have also changed, I won't go into detail as I have already talked everyone's ears off, sorry, I'm just so very excited and hopeful for the first time in a long time.

This is remarkable: I'm so glad for the change in your daugther's situation. About the death part: its very good that she is talking about the future and looking forward to it. I think a lot of times people get obsessed with death when they are scared of the future and scared of changing and leaving an old self behind, thus, in a sense, dying. It is very good that she has a counselor from which she can receive support and care and so that she can express and resolve any of her fears/anxieties.

It sounds like Borderline Personality Disorder with Psychotic Features, to me.

I would commit her involuntarily, and get help for her asap. She's suicidal, manipulative, and potentially violent towards you & your family.

Specializes in Med-Surg, Wound Care.

Lady Jezebel, did you even read her latest post??? I'm amazed that people are so quick to place a DSM diagnosis without even looking at the whole picture. A patient assessment requires looking at the whole picture. Medication influence is critical in a proper assessment. This child was being labeled while under the influence of SSRI's.Now that she's out from under that influence the TRUE personality is showing and it's MUCH different from the medicated one. Just because someone was placed on a psych drug doesn't mean they needed it. Psychiatrists prescribe drugs and thats it. Psychiatric nurses must widen their scope of practice to include medication influences. Placing a DSM diagnosis is easy(lets face it we would all have one that fit our personalities!) discovering the true person and working through transient problems that teenagers can have without adding more is the true challenge.

This child is doing well OFF meds. Her personality is completely different as well as her behavior.So lets see--- crazy on meds, normal off meds---its not rocket science!! Wake up nurses!! Read the clinical trials, read other peoples stories. There is alot of information out there that will make you shake your head and wonder what we are doing to our children. Comments like "commit her involuntarily" show a lack in knowledge base!!!! :angryfire

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